Registration Form for Indian Delegates

Please Note:
  • Pre-Registration is a must. On receipt of your registration form, further details will be sent.
  • Note: All delegates registering after 25 October, 2017 will not appear in our printed material.
  • All details need to be filled in English only. Please stick to the word limit and be clear in your details.
  • All details are mandatory. For any clarifications you may reach us at the details given on our contact us page.
TRAVEL DETAILS
DELEGATION SCHEDULE
  • Arrive in Kampala, Uganda : By afternoon on 19 November, 2017
  • Depart from Kampala, Uganda : Anytime on 22 November, 2017
VISA
Delegates who do not have a valid Uganda visa, need to apply for their visa (along with a recommendation letter from CII and other documents mentioned by your travel agent) at the Uganda High Commission, minimum 5 working days prior to departure.

YELLOW FEVER VACCINATION
Do you have a Valid Yellow Fever certificate?
Note
  1. All delegates must be in possession of a valid yellow fever certificate throughout their duration of travel.
  2. In case you have not been vaccinated, kindly arrange for your vaccination from a Government Certified centre / hospital (list available online),a minimum of ten days prior to departure.
DELEGATE FEE STRUCTURE
  • Delegate fee is INR 35,400 (Inclusive of all Taxes).
    •
  • The fee is non-refundable. However, change in nomination will be accepted till 27 October, 2017.
    •  (Please Scroll down to the bottom of the page for Bank Transfer Details)
DELEGATE DETAILS
Prefix*
First Name* Middle Name
Last Name* Upload your image*
Only .PNG, .JPG, .JPEG, Files Are Allowed! Image size should not be more than 1MB!
Designation* Organisation / Company Name*
Postal Address* City*
Pin code / Zip code* State
Mobile*
Telephone Number*
With STD/ISD Code
Fax Website
Email* Please Retype Email Address*
Mobile of Secretary Email of Secretary

PASSPORT DETAILS
Passport No * Place of Issue *
Date of Issue * (dd/mm/yyyy) Date of Expiry * (dd/mm/yyyy)

CII MEMBERSHIP DETAILS
Is your organisation a CII Member ?*
(Yes /No)
If yes, please mention your CII membership number

COMPANY INFORMATION
Company Scale* Industry / Sector*
Company Profile*
A Brief write up on your
organization (Maximum of 200 words)
Company’s Global Presence (country names)

OTHER INFORMATION
Any issues while doing business with East African countries?
(Please specify the issue and country name)
Personal Profile*
(of participating delegate)
Maximum of 150 words
Company TAN Number* Company GST Registered Address*
Company IEC Code Company GST Number*
I will be making the Bank transfer for the delegate fee payment, shortly:*
Bank Tranfer Details

For Online Payment
Name :- CONFEDERATION OF INDIAN INDUSTRY
Address :- 23, Institutional Area, Lodhi Road, New Delhi - 110003
Pan No. :- AAATC0188R
Tan No. :- DELC07910A
Service Tax no. :- AAATC0188RST004
VAT No. :- 07850377383


For Local Transfer
Account number :- 52205035775
Bank name :- Standard Chartered Bank
Address :- 23 Barakhamba Road, Narain Manzil New Delhi - 110001
IFSC code :- SCBL0036020
MICR :- 110036002


From Overseas
Account number :- 52205035775
Bank name :- Standard Chartered Bank
Address :- 23 Barakhamba Road, Narain Manzil New Delhi -110001
SWIFT code :- SCBLINBB DEL
IBAN no for GBP :- GB42SCBL60910451997017
IBAN for EUR :- DE18512305000018506203
ABA NUMBER (USD) :- 026002561
Sort Code of SCB London :- 609104




 
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